通过压力刺激重新评估和工作实例,提高突破坏消息的沟通技巧
Michel Bosshard1,2, Sissel Guttormsen1, Urs Markus Nater3,4
1Institute for Medical Education, University of Bern, Bern, Switzerland.
Medical education
|March 12, 2025
概括
工作示例 (WE) 培训显著改善了医学学生的口头和非口头沟通技巧,当打破坏消息 (BBN). 压力唤醒重新评估 (SAR) 改善了非语言技能,但结合干预措施没有提供额外的好处.
科学领域:
- 医学教育 医学教育
- 沟通技巧培训 培训 沟通技巧培训
- 心理干预 心理干预
背景情况:
- 突破坏消息 (BBN) 是一种关键的医疗技能,对医生和患者造成重大压力.
- 有效的BBN需要强烈的口头和非口头沟通,经常受到任务相关压力的阻碍.
- 当前的沟通技巧培训往往忽视了压力管理对BBN交付的影响.
研究的目的:
- 调查压力刺激重新评估 (SAR) 和工作实例 (WE) 干预措施对医学学生BBN沟通表现的影响.
- 评估SAR和WE对言语和非言语沟通的个人和联合影响.
- 评估这些干预措施在模拟BBN培训中的有用性.
主要方法:
- 一项随机对照试验,采用2x2对象之间的设计,涉及221名三年级医学学生.
- 在模拟患者咨询之前,学生参加了基于网络的学习模块 (SAR和/或WE).
- 独立评级人员通过视频记录来评估通信性能.
主要成果:
- 工作示例 (WE) 干预显著改善了口头和非口头沟通.
- 压力刺激重新评估 (SAR) 干预仅提高了非语言沟通表现.
- 结合SAR和WE并没有比非语言沟通的单独干预提供额外的好处.
结论:
- 工作示例 (WE) 和压力唤起重新评估 (SAR) 干预措施显示了优化模拟坏消息 (BBN) 培训的潜力.
- 在BBN场景中,WE有效地改善了口头和非口头沟通.
- 像SAR这样的压力管理技术对于有效的BBN交付至关重要,为医疗课程提供实用工具.
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